HomeMy WebLinkAbout0102901-Plumbing (sink/dishwasher)OSHKOSH
ON THE WATER
Job Address 653 GRAND ST
Contractor GARTMAN MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JAMES A GRALL
Category 410 - Residential-Interior
Bathtub g Shower 0 EjectorlGrind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 102901
Create Date 07/17/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Iht Grease Trap 0
__ Ext Grease Trap 0
Use/Nature FPJ Hook-up sink and dishwasher.
of Work
Sanitary Sewer
Storm Sewer
Wa~rSe~ice
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date 07/17/2003
[] Permit Voided J
In the performance of this work, I agree to perform ail work pursuant to rules governing the described construction.
Signature Date
AgentJOwner
Address 520 W SOUTH PARK AV OSHKOSH WI 54902 - 0000 Telephone Number 920-231-5530
Cit~ of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh. WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Q/FKO/H
P!umbing Permit App!ication
he~:eby apply for a perrmt to do and install the following plumbing on thc premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code. i- the performance of which all panics herzto agree to and arc bound by said statutes.
· Application(s) and fee(s) can be brought to .City Hall~ Room 205 or mailed to Inspection Sci'vices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without p6rmit(s) will result in fees being doubled or $100.00 plus the
normal permit fee. which ever is ~eater.
OR
If ¥o. are a contractor participating in ~he Perm~ee Account Svssem and hove gdequaee fnnds, check here
i~u want this processed through, vour account IM
Jeh Address ~'~,~ ~/~/~ ~) ~ Value (Including laborand
~--
~gle Family ~Duplex ~Multi-Family ~Ren/~l ~Commercial ~lndustriai
Date ~/V-a~7
Number of Fixtures:
Electric Contractor O~R [--]Electric Installation VerificatiOn form attached
se atureo Wor
Size ~f~erial T~e ~ Co~. T~
Sae~tory Sewer
Storm Sewer
Water Service
3/02